0005 MAPLE STREET - BPA-06-15 -. nits:
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PLANS MUST BE FILED AND APPROVED BY T$E
INSPECTOR PRIOR TO A PERNUT BEING GRANTED
Locadw d)Pui s � 6+�/1/r S¢
Building Perssit Application For.
'(Circle whichever qoW) Roo& Rcmf. Install Siding Construct Deck,Shed Pool '
Addition,Alteration,RgmkMgdack FmWation Only,Wrackws
PLEASE FELL OUT LEGIBLY& COMPLETELY TO AVOID DELAYS I N PROCESSING
To the bupegor of Bui)djW
The w dmsiPW hereby applies fora permit to build to the hHOW12S spetitiptioos:
Owaery Nape_ -J(y G t, I// Coat ,
Stroet_S MG�1/r Sf City Sa--/�� Street
stagy MA rs p�� e-4-) 7q/ —�/L� py� )
Ahiseet: /"l City of sakm Ud
Street City State 1.�w#
soft Pbooe ( ) Hoamow"n Lumpt Foro...y" t►o
Shw am- (please cuck) Siogle Family. Multi Family M Other
Estimated Cat of job S 2 od d XI
Win kdwwtaatirm to 1 wl�jRs ro
AsbestosT____vaJ a / p ��ss
Daeriptiaa d weets to be 6ae: '�� •/ !S/ Ro f/4d 4/JO✓� v/ Ao(/( d
Dmwiop Subasitted:_Ycs_ ao Mail Permit to: �— ,,-!"fit, Sh
5OMW APP9kad0.$ GNED UNDER THE PENALTY OF PERIURY
CO TRUCTION T B OMPLETED WITHIN SIX MONTRS OR PERMIT ISSUED DATE
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